IPM’s pharmacy providers are the backbone of our claims management process. We are committed to providing you the resources and information you need to process pharmacy claims quickly and efficiently.
Can’t find what you’re looking for? Please contact us at our Pharmacy Help Desk for immediate assistance.
For generic reimbursement concerns, click here for more information.
Read More MAC Request FormUse this form to request IPM’s MAC List.
Read More Prior Authorization Request FormFax to 800.476.2691 for review.
Read More Pharmacy Provider ManualCheck out our manual for general terms, conditions, procedures, and policies.
Read More Tennessee Wholesaler SubmissionClick here for more information about Tennessee wholesale and manufacturer information collection and to download our form.
Read MoreAccess payor sheets for the latest requirements to submit claims electronically.
Read More Workers' Compensation Payor SheetAccess payor sheet for the latest requirements to submit claims electronically.
Read More Prior Authorization Appeal FormTo appeal a prior authorization denial, use this form.
Read More Prior Authorization Request Form – FertilityFax to 800.476.2691 for review.
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